TRACI M PENNER (APRN) – Family Nurse Practitioner, NPI 1891248720
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for TRACI M PENNER (APRN)
800 MERCY DRIVE
ATTN: HOSPITAL MEDICINE
OMAHA, IA 515033128
Phone: (855) 524-4001
Fax: (712) 325-2499
Type: Mailing
6901 N 72ND ST
ATTN: HOSPITAL MEDICINE
OMAHA, NE 681221709
Phone: (855) 524-4001
Fax: (402) 572-3206
Type: Location
PO BOX 1725
GRAND ISLAND, NE 688021725
Phone: (308) 398-6400
Fax: (308) 398-6408
Type: Mailing
3610 RICHMOND CIR STE 100
GRAND ISLAND, NE 688033910
Phone: (308) 398-6400
Fax: (308) 398-6408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $456.
Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($85).
Total Amount
$456
General + Research + Ownership
Payments
28
Total payment records
General Amount
$456
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160909002070 | I | Nurse Practitioner | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 68 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 31 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 20 | $0 |
Insurance plans in this area (ZIP 51503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| Family Practice | NE | |
| - | NE | |
| - | NE | |
| Physician Assistant | NE | |
| Physician Assistant | AZ | |
| Nurse Practitioner | NE |
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